Healthcare Provider Details

I. General information

NPI: 1184985848
Provider Name (Legal Business Name): MARISA MASON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE SUITE 117 GLOBAL HEALTHCARE INC.
NE DC
20002
US

IV. Provider business mailing address

99 56TH ST SE
WASHINGTON DC
20019-6574
US

V. Phone/Fax

Practice location:
  • Phone: 202-480-0813
  • Fax: 202-503-2363
Mailing address:
  • Phone: 202-352-5298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: